Philippines : Credit for Better Health Care Project

Sovereign Project | 41664-013

Project Details

  • Project Officer
    Servais, Gerard
    Southeast Asia Department
    Request for information
  • Country/Economy
  • Modality
  • Sector
    • Health
Project Name Credit for Better Health Care Project
Project Number 41664-013
Country / Economy Philippines
Project Status Closed
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0148-PHI: Enhancing Midwives' Entrepreneurial and Financial Literacy (Credit for Better Health Care Project)
Gender and Development Cooperation Fund US$ 400,000.00
Loan 2515-PHI: Credit for Better Health Care Project
Ordinary capital resources US$ 37.70 million
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Private sector development
Sector / Subsector

Health / Health sector development and reform

Gender Gender equity theme
Project Rationale and Linkage to Country/Regional Strategy

Improved overall health status, especially in relation to Millennium Development Goal (MDG) 4 (reduce child mortality), and MDG 5 (improve maternal health) by 2015.

Project Outcome
Description of Outcome

Increased use of basic health care and referral services in the subproject sites.

Progress Toward Outcome The project closed in August 2015. Seven subprojects among 10 financed under the project have been fully disbursed. Progress towards outcome will be determined during the project completion review.
Implementation Progress
Description of Project Outputs

1. Upgraded LGU health services.

2. More efficient health care delivery systems through PPP and innovative strategies.

3. Improved access to small-scale private providers.

4. Enhanced institutional capacity for health sector lending.

Status of Implementation Progress (Outputs, Activities, and Issues)

Output 1: No LGU health facility has been financed under CBHC Project

Output 2: No LGU health facility has been financed under CBHC Project

Output 2: CBHCP did not finance public hospitals.

Output 2: No subproject has achieved PPP arrangement

Output 2: All private hospitals outsource ancillary services (laundry, food)

Output 2: Information on innovative strategies not yet available.

Output 3: 179 midwives and birthing homes have submitted PHIC accreditation, among 310 assisted (58%). Data as of June 30, 2013.

Output 3: By June 2013, 153 midwives prepared lending application, among 208 assisted (74%). and 58 birthing homes among 102 consulted credit lending agencies for credit application.

Output 3: All private hospitals financed under CBHCP are PHIC certified. Private hospitals offer maternal and child care, provide treatment of communicable diseases and have isolation rooms.

Output 3: No drug stores availed of funds under the facility

Output 3: 153 midwives were given post-graduate training, among 208 midwives assisted in the 3 provinces. Data as of June 30, 2013.

Output 4: DBP's Management Committee Resolution No. 0283 dated November 26, 2007 established DBP's health relending investment policy and monitoring guidelines

Output 4: Continuing monitoring of the sub-projects provided by the RMCs.

Project Information is published on EA website. Sub-projects are announced on EA website. 'Project monitoring briefings refers to the 'regular meetings conducted between EA and sub-borrowers

Geographical Location Nation-wide
Safeguard Categories
Environment FI
Involuntary Resettlement C
Indigenous Peoples A
Summary of Environmental and Social Aspects
Environmental Aspects

An environmental management assessment was carried out on DBP's

environmental management system (EMS) and on the environmental assessment procedures

and guidelines as applied to the Project. DBP has a satisfactory EMS with appropriate staff

capacity, and its environmental policy and environmental assessment procedures are of the same

standard as ADB's Environment Policy (2002). No additional measures are necessary to ensure

compliance. As DBP's account officers' experience with environmental assessment is uneven,

DBP will prepare an upgraded training program to ensure performance of uniform quality. ADB will

validate DBP's capacity to ensure full compliance with ADB's Environment Policy by reviewing the

initial environmental examination for the first two category B subprojects prior to DBP approval.

Eligible investments under the Project will be category B or C. No category A subproject is

anticipated, and category A proposals will be screened out. Impacts of category B subprojects can

be mitigated by properly implementing the EMS of the financial intermediary and the government,

and additional procedures developed for the specific subproject, and agreed with ADB to ensure

environmental assessments are equivalent to ADB requirements. DBP will submit a report on the

environmental status of the subprojects every 6 months with information about environmental

categories, details, and potential or resolved issues for subprojects under assessment, approved,

and under implementation.

Involuntary Resettlement

An involuntary resettlement framework with detailedprocedures and involuntary resettlement checklist has been prepared by DBP to screen

proposed subprojects for involuntary resettlement impact (Supplementary Appendix E). Every LGU and retail unit subloan proposal will be screened to ensure all subloan proposals in project sites with titles involving liens and encumbrances and informal settlement issues, including loss of shelter, livelihood, or access to resources, are identified and denied. A subloan proposal screening checklist for all public and private subloan proposals has been established based on ADB's Involuntary Resettlement Policy (1995) to flag potential involuntary resettlement mpacts.

In addition to the screening checklist, DBP will physically verify that all subproject sites involved in the public and private subloan proposals submitted for credit approval are free from liens and encumbrances, that they have no informal settler impacts, and that no eviction of informal

dwellers has been undertaken during the past 12 months prior to loan application.

Indigenous Peoples

An indigenous peoples development framework (IPDF) has

been prepared in accordance with ADB's Policy on Indigenous Peoples (1998) and the

Philippine Republic Indigenous Peoples Rights Act of 1997. It states how compliance will be

achieved, including the participation strategy, grievance procedures, and institutional

implementation arrangements. For each type of eligible investment, the IPDF describes the

DBP subloan approval process, how the proposals will be screened, persons responsible,

documentation required, implementation monitoring arrangements, and reporting to ADB. The

National Commission on Indigenous Peoples (NCIP) regional offices will provide DBP the

locations of ancestral domains and ancestral lands that have been approved or are under

consideration. For project sites that are in approved ancestral areas or those under

consideration, the IPDF identifies the types of investments that may require free, prior, and

informed consent (FPIC) or an indigenous people community action, as well as the actions to be

undertaken by the proponent prior to DBP consideration for credit approval. Few subloans

requiring FPIC or community action are anticipated, as most public investments are expected to

restore or achieve the service levels expected for existing facilities. Most proponents of private

sector investments are likely to be indigenous peoples or non-indigenous people residents

rather than non-indigenous people migrants.

Stakeholder Communication, Participation, and Consultation
During Project Design During processing, the team will consult with a sample of potential borrowers of Development Bank of the Philippines, these include, HMO, for-profit and not-for-profit private hospitals, public hospitals, and some small to medium sized enterprises offering outsourcing of services. The team will also engage with mayors and governors of potential subproject sites, including the sector departments and the oversight agencies: Department of Health, Phil. Health Insurance Corporation, BFAD, DBM, Department of Finance, Municipal Development Fund Office. Some beneficiaries (patients) of the potential borrowers will also be interviewed to understand better their current perception of quality for and satisfaction with the providers. The team will also engage with the Associations (such as the Private Hospital Association of the Philippines, Pharmaceutical and Healthcare Association of the Philippines, Drugstores Association of the Philippines), and relevant academics and civil society.
During Project Implementation
Business Opportunities
Consulting Services Consulting services financed by Development Bank of the Philippines (DBP) will be engaged to implement output 4 (Enhanced Institutional Capacity for Health Sector Lending). Consulting services will require 84 person-months of national consultants in the areas of health systems, social marketing, and hospital environmental and medical waste management. ADB will assist in selecting the consultants. Under the Gender and Development Cooperation Fund, additional consulting services will be engaged to support implementing gender-relevant activities of output 3 (Improved Access to Small-Scale Private Providers. This component will require 90 person-months of consulting services, to be sourced through a national health Non Government Organization (NGO) in the areas of community health, training, and legal matters. The NGO will be chosen using quality- and cost-based selection in accordance with ADB's Guidelines on the Use of Consultants (2007, as amended from time to time). DBP will engage and administer the consultants.

Procurement of goods and services financed under the loan will be in accordance with ADB's Procurement Guidelines (2007, as amended from time to time). Except where stated otherwise in the procurement plan, procurement undertaken by beneficiaries under the loan will be in accordance with the procedures for loans to financial intermediaries that allows for procurement in accordance with established private sector or commercial practices. For other cases identified in the procurement plan, however, national competitive bidding or international competitive bidding may be the specified form of procurement. The procedures followed for national competitive bidding will be those set forth in the Government Procurement Reform Act (Republic Act No. 9184) with clarifications and modifications. Civil Works in excess of $5,000,000 equivalent and contracts for goods (in particular large single items or where large quantities of like goods can be grouped together and procured centrally) estimated to cost in excess of $1,000,000 equivalent will be procured based on international competitive bidding.

Responsible ADB Officer Servais, Gerard
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Development Bank of the Philippines
Concept Clearance 28 Sep 2007
Fact Finding 19 Nov 2007 to 10 Dec 2007
MRM 02 Sep 2008
Approval 25 Mar 2009
Last Review Mission -
PDS Creation Date 29 Jan 2008
Last PDS Update 22 Sep 2015

Grant 0148-PHI

Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Mar 2009 27 Nov 2009 27 Nov 2009 31 Jul 2011 30 Jun 2013 13 Nov 2013
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 0.40 Cumulative Contract Awards
ADB 0.00 17 Jun 2022 0.00 0.39 98%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.40 17 Jun 2022 0.00 0.39 98%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - Satisfactory Satisfactory Satisfactory - Satisfactory

Loan 2515-PHI

Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Mar 2009 27 Apr 2009 19 Aug 2009 19 Aug 2015 - 19 Aug 2015
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 39.64 Cumulative Contract Awards
ADB 37.70 17 Jun 2022 19.97 0.00 100%
Counterpart 1.94 Cumulative Disbursements
Cofinancing 0.00 17 Jun 2022 19.97 0.00 100%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - Satisfactory Satisfactory Satisfactory - Satisfactory

Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.

The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.

In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.

Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.

Title Document Type Document Date
Support for the Sustainable Health Care Investment Project Resettlement Planning Documents Aug 2008
Support for the Sustainable Health Care Project Indigenous Peoples Plans/Indigenous Peoples Development Plans Aug 2008

Evaluation Documents See also: Independent Evaluation

Title Document Type Document Date
Philippines: Credit for Better Health Care Project Validations of Project Completion Reports Nov 2017

Related Publications

None currently available.

The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.

Requests for information may also be directed to the InfoUnit.


No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

Title Document Type Document Date
Credit for Better Health Care Project Procurement Plans Aug 2008